Her admissions were in Maryland (in Baltimore and Cambridge), Virginia, Delaware and outside of Baltimore to a combined adolescent/adult unit. Our last ER visit was 38 hours in the seclusion room due to no bed availability, and then the only placement available was the combined unit. I assumed the adults would be separated from the children, but to my dismay, we were met by a man in his late 40s standing in the hallway in his underwear. I told the ambulance crew “We are out of here!” The staff rushed over, removed the gentleman and reassured me that they would take great care of my daughter. My choices were that I take her home and risk her killing herself, or leave her at the combined unit. I chose the unit.